Introduction The Health Services Cost Review Commission (HSCRC) is seeking a strong leader to serve as Executive Director and lead architect of Maryland's unique healthcare financing landscape. The HSCRC maintains independent authority to set hospital global budgets across the State. In this position, the Executive Director will administer Maryland's healthcare financing system (The Maryland Model) in partnership with the Chair and members of HSCRC and steer the future of statewide healthcare payment innovation.
GRADE HSCR0011
LOCATION OF POSITION Health Services Cost Review Commission
4160 Patterson Avenue
Baltimore MD 21215
POSITION DUTIES As the Commission transitions from the Total Cost of Care Model to the pioneering AHEAD Model, the Executive Director will serve as the chief strategist and leader of a nationally unique healthcare model that has transformed the state into a global laboratory for payment reform. This position requires rigorous administrative oversight as well as the skill to shepherd Maryland's healthcare delivery systems into a new era. The successful candidate will lead a high-caliber multidisciplinary team to fulfill its critical legislative charge: achieving maximum efficiency and effectiveness to ensure all Maryland citizens receive affordable, high-quality care from a sustainable delivery system. This mission is the connective tissue between the agency's historic rate-setting roots and its future leading transformational financial and delivery system change.
Agency Mission and The All-Payer Landscape: The HSCRC maintains independent authority to set hospital global budgets across the state. The HSCRC also plays an important role in administering the state's unique healthcare financing model (The Maryland Model).
Strategic Priorities: The State of Maryland has negotiated the continuation of the Maryland Model with its federal partners through the AHEAD Model. The Executive Director will serve as the lead architect in shaping how Maryland evolves its payment structures, working closely with the HSCRC Commissioners and key state agencies-including MDH, MHCC, MIA, and MHBE-to meet rigorous federal expectations while preserving the stability of the state's hospital infrastructure.
Core Executive Responsibilities and Governance: Managing the HSCRC requires a sophisticated balance of ensuring internal operational excellence while demonstrating exceptional skill in managing multiple stakeholder relationships. The Executive Director must navigate a complex ecosystem populated by the Maryland General Assembly, federal regulators at CMS, and a diverse array of provider, payer, and community interests. The primary operational and governance responsibilities include:
Operational Oversight: Directing a 47-member multidisciplinary staff of economists, accountants, statisticians, health policy analysts, and data management professionals. The Executive Director administers an annual operating budget of $15.4 million.
Intergovernmental and Legislative Relations: Acting as the primary liaison to the Maryland General Assembly, providing authoritative testimony, and coordinating with state and federal agencies to align Maryland's activities with the Total Cost of Care goals.
Public Advocacy and Multi-Sector Engagement: Managing relationships with a broad spectrum of stakeholders, including hospitals, physicians, nursing homes, third-party payers, and consumers. This includes serving as the public face of the agency to the press and ensuring transparency in all policy matters.
This position is eligible for Hybrid Telework.
MINIMUM QUALIFICATIONS Qualified candidates must meet the following requirements:
- Master's Degree from an accredited college or university, in Health Care Policy, Public Policy, Economics, Health Services Administration/Research, Finance, or a related field, plus seven (7) years of experience in analytical and quantitative work involving health policy development or healthcare financing
- Ph.D. in a related field, may substitute for three years of the required experience
- Ten (10) years of professional experience in health policy development, health economics, or healthcare financing may be substituted for the formal education requirements
- Proven experience in the successful direction of a health-related professional staff is highly desirable and remains a primary indicator of a candidate's readiness for this role
DESIRED OR PREFERRED QUALIFICATIONS Successful candidates will possess five (5) years of experience developing and implementing hospital global budget policies or similarly complex value-based payment policies.
SELECTION PROCESSThis is a Management Service position and serves at the pleasure of the Appointing Authority. A resume must be uploaded to the application.
Applicants who meet the minimum (and selective) qualifications will be included in further evaluation. The evaluation may be a rating of your application based on your education, training and experience as they relate to the requirements of the position. Therefore, it is essential that you provide complete and accurate information on your application. Please report all related education, experience, dates and hours of work. Clearly indicate your college degree and major on your application, if applicable. For education obtained outside the U.S., any job offer will be contingent on the candidate providing an evaluation for equivalency by a foreign credential evaluation service prior to starting employment (and may be requested prior to interview).
Complete applications must be submitted by the closing date. Information submitted after this date will not be added.
Incorrect application forms will not be accepted.
Candidates may remain on the certified eligible list for a period of at least one year. The resulting certified eligible list for this recruitment may be used for similar positions in this or other State agencies.
BENEFITS The Maryland Department of Health offers the following benefits:
- Meaningful Work
- Excellent Health Benefits Package, including Medical, Vision, Prescription and Dental
- Flexible Spending Accounts (Reduced Child and Health Care)
- Generous Leave Benefits (6 Personal Days, 12 Regular Holidays, Annual Leave, Sick Leave)
- Retirement
- Paid Parental Leave
- Flexible Work Schedules (where applicable)
- Free Mass Transit (Baltimore Metro Area)
For a full list of the benefits of working for the State of Maryland, please click the link below:
STATE OF MARYLAND BENEFITSFURTHER INSTRUCTIONSOnline applications are highly recommended. However, if you are unable to apply online, the paper application (and supplemental questionnaire) may be submitted to MDH, Recruitment and Selection Division, 201 W. Preston St., Room 114-B, Baltimore, MD 21201. Paper application materials must be received by 5 pm, close of business, on the closing date for the recruitment, no postmarks will be accepted.
If additional information is required, the preferred method is to upload. If you are unable to upload, please fax the requested information to 410-333-5689. Only additional materials that are required will be accepted for this recruitment. All additional information must be received by the closing date and time.
For questions regarding this recruitment, please contact the MDH Recruitment and Selection Division at 410-767-1251.
If you are having difficulty with your user account or have general questions about the online application system, please contact the MD Department of Budget and Management, Recruitment and Examination Division at 410-767-4850 or Application.Help@maryland.gov.
